A nurse is providing vehicle safety education to the parents of a premature newborn.
Which of the following statements should the nurse include in the teaching?
"Your newborn will need to have a car seat test prior to discharge.”.
"Position the retainer clip at the level of your newborn's abdomen.”.
"Place your newborn in a front-facing car seat in the back seat of the vehicle.”.
"You should secure your newborn's car seat at a 60-degree angle.”.
The Correct Answer is A
Choice A rationale
Premature newborns have immature respiratory and neurological systems, making them vulnerable to respiratory compromise and apnea in a car seat. A car seat test prior to discharge assesses their ability to maintain adequate oxygenation and heart rate while positioned in the car seat for a prolonged period, ensuring safety.
Choice B rationale
The retainer clip should be positioned at the level of the newborn's armpits, not the abdomen. Proper placement at the armpit level ensures that the harness straps are snug over the shoulders and chest, effectively restraining the infant and preventing ejection in the event of a collision, optimizing crash protection.
Choice C rationale
Newborns, especially premature ones, must always be placed in a rear-facing car seat in the back seat of the vehicle. Rear-facing provides optimal support for the newborn's fragile head, neck, and spine, distributing crash forces over the entire back and significantly reducing the risk of severe injuries in a collision.
Choice D rationale
The recommended angle for a rear-facing car seat is typically between 30 to 45 degrees, depending on the specific car seat model, not 60 degrees. This recline angle is crucial to prevent the newborn's head from falling forward and compromising their airway, which is particularly critical for a premature infant with underdeveloped neck control. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Administering oxygen via nasal cannula at 2 L/min might marginally increase fetal oxygenation, but it does not address the primary issue of hypotension causing decreased placental perfusion. The fundamental problem is reduced blood flow to the placenta, necessitating interventions that increase maternal circulating volume and blood pressure to improve perfusion.
Choice B rationale
Administering a lactated Ringer's 500 mL bolus directly addresses hypotension by expanding the maternal intravascular volume. This increased circulating volume raises blood pressure, thereby improving placental perfusion and oxygen delivery to the fetus. Lactated Ringer's is an isotonic solution, effective for rapid volume expansion.
Choice C rationale
Placing the client in a knee-chest position is typically used to alleviate cord compression or prolapse by shifting the fetus, not for treating hypotension. This position can actually worsen hypotension by trapping blood in the lower extremities and reducing venous return to the heart, further compromising placental blood flow.
Choice D rationale
Monitoring the client's blood pressure every 30 minutes is a crucial assessment but is not an immediate intervention for acute hypotension with decreased placental perfusion. While ongoing monitoring is essential, immediate actions are required to correct the underlying cause of hypotension and restore adequate blood flow to the placenta.
Correct Answer is D
Explanation
A. The bladder is distended upon palpation: A distended bladder suggests urinary retention, not effective voiding. This may impair uterine contraction and increase the risk of hemorrhage.
B. The uterine fundus is 2 cm above the umbilicus: A high-rising fundus may indicate a full bladder that is displacing the uterus, often due to incomplete voiding.
C. The client does not feel the urge to urinate: Lack of urge may indicate altered bladder sensation, a potential complication after catheter removal and childbirth.
D. The client urinates 30 mL/hr: Urine output of ≥30 mL/hr is considered adequate and reflects effective voiding and kidney function, especially in the postpartum period.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.